NPI | 1558997569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012649) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012649) |
Enumeration Date | 2020-03-21 |
Last Update Date | 2024-10-28 |